Active NPI
Dakota Lewey, PA
- Surgical Physician Assistant
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 4400 W 95TH St Ste 308
Oak Lawn, IL 60453-2660 - Phone
- (708) 346-4040
- Fax
- (708) 346-3287
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
4400 W 95TH St Ste 308
Oak Lawn, IL 60453-2660
Mailing address
9500 Bormet Dr Ste 204
Mokena, IL 60448-8399
Phone (708) 346-4044
Other names 1
- Dakota Walther
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dwalther165856@direct.myadvocateaurora.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (708) 684-8000
801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone (847) 362-2900
890 Garfield Ave
Suite 101
Libertyville, IL 60048-3100
Phone (847) 990-5636
Hospital & facility affiliations
- Silver Cross Hospital and Medical Centers
- Advocate Christ Hospital & Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- dwalther159265@direct.rush.rush-health.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Oak Lawn, IL
- NPI 1780679407
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1407327638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 BORMET DR STE 204",
"city": "MOKENA",
"state": "IL",
"postal_code": "604488399",
"telephone_number": "708-346-4044",
"fax_number": "708-346-3287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 W 95TH ST STE 308",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532660",
"telephone_number": "708-346-4040",
"fax_number": "708-346-3287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWEY",
"first_name": "DAKOTA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dwalther165856@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4400 W 95th St Ste 308",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604532660",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DAKOTA",
"last_name": "WALTHER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.